Manager Inpatient Care Management

Manager Inpatient Care ManagementAdvocate Lutheran General Hospital1775 Dempster St., Park Ridge, IL 60068Advocate Health - Illinois DivisionJob ID # R137619Exempt - Full Time, Monday through Friday 0800 - 1630 plus after hour callsSalary Range $96,824 - $145,288 Plus, Annual Incentive Plan eligible Comprehensive Relocation Assistance availableAbout Advocate HealthAdvocate Health is the nation's third largest, nonprofit healthcare enterprise. In December of 2022, two mission driven health systems came together to Do More, Better, and Faster to provide safe, quality, more affordable and equitable care for all the communities and patients we serve. Together, Advocate Health Care in Illinois, Aurora Health Care in Wisconsin, and Atrium Health across North Carolina, South Carolina, Alabama, and Georgia treat over 6M patients per year and employs over 155K team members.Advocate Lutheran General Hospital, is part of the Advocate Health enterprise. Located in the north Chicagoland suburbs, LGH is a 670-bed, trauma level I, teaching hospital. This 5-time Magnet Designated acute care medical center offers 90 specialties and supports the careers of 1561 RNs. Located on the campus is Advocate Children's Hospital, one of the largest providers of pediatric services in the state and nation.Benefits and more:Paid Time Off programsHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term DisabilityFlexible Spending Accounts for eligible health care and dependent care expensesFamily benefits such as adoption assistance and paid parental leaveDefined contribution retirement plans with employer match and other financial wellness programsEducational Assistance ProgramHOW YOU'LL MAKE A DIFFERENCE: Provides management oversight of the daily operations of the care management and social work programs at the assigned site(s). Approves and monitors staff schedules, paid time off, and timecards to ensure continuity of services. Monitors proficiency of each site CM/SW staff and includes action plans to improve deficiencies, meet regulatory requirements, and drive efficiencies. Responsible for team building and conflict resolution.Facilitate performance improvement activities for the care management program; assists to establish measures, performance targets, and benchmarks to drive achievement of established goals and achieve efficiencies of processes. Collects, analyzes, and reports data to measure and identify the effectiveness of care processes and variations from standards and expectations. Analyzes data and information to discern root causes of performance gaps using key data and reports.Identifies and discusses overall and individual physician trends related to care management activities with Director of Inpatient Care Management Operations, Physician Advisor and site Medical Staff Leadership as appropriate with a documented improvement plan to include strategies and educational needs identified. Regularly reviews individual site successes and improvement opportunities with the Director of Inpatient Care Management Operations, site leadership and other key stakeholders.Serves as an internal consultant on Care Management opportunities. Acts as an expert resource for care management program, including evaluation of challenging cases, intervening with physicians when necessary, meeting with patients and families, dissemination and interpretation of key regulatory requirements and changes, etc. Consults, communicates, and organizes key ongoing education, serves as a supportive member of site UM Committees, and/or other site meetings as appropriate. Participates in multidisciplinary cross functional efforts to ensure high quality, cost effective coordinated care. Works collaboratively with Physician Advisor(s) on challenging cases, removing barriers to discharge.Accountable for site care management/social work budgets as assigned. Develops and recommends operational and capital budgets and controls expenditure within approved budget objectives.Ensures the care management/social work program operates within compliance of CMS, OSHA, Accrediting Organizations, and established care management practice standards and code of ethics. Collaborates with Compliance to ensure care management/social work program meets all state and federal guidelines.Responsible for orientation, and ongoing competency assessment of CM/SW staff in collaboration with the Director of Inpatient Care Management Operations.Responsible for personal professional growth. Participates in professional organizations, maintains license and certification as required, maintains effective working relations with both internal and external customers. Maintains required competencies and assumes responsibility of personal development and maintenance of ongoing workshops, conferences, and/or in-services and maintaining records of participation.Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.WHAT YOU WILL NEEDLicensure, Registration, and/or Certification RequiredRegistered Nurse license issued by the state in which the team member practices,Accredited Case Manger (ACM) certification issued by the American Case Management Association (ACM) needs to be obtained within 1 year, orRN: Certified Case Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs to be obtained within 1 year, orRN: Nursing Case Management (RN-BC) certification issued by the American Nurses Credentialing Center (ANCC) needs to be obtained within 1 year, Education RequiredBachelor's Degree in NursingMaster of Nursing Administration, Master in Health Care Administration or related field preferred.Experience, Knowledge, Skills & Abilities RequiredTypically requires 5 years of experience in a relevant clinical setting. Includes 1 year of supervisory experience in a Care Management Leadership role.Ability to prioritize and organize work.Ability to travel and work across multiple sites as assigned (IL or WI)Effective communication skills.Utilization of critical thinking in timely decision making.Knowledge of MS Office products.Demonstrates leadership skills.Knowledge of Medicare A and B guidelines.Knowledge of Managed Care programs/requirements/implications.Knowledge of Conditions of Participation for Discharge Planning.Knowledge of requirement elements of Utilization Management program, including support of the UM Plan.Knowledge of Regulatory environment.Ability to work autonomously and respond to multiple requests effectively.Taking care of our team members and leaders is a top priority. We strive to develop and maintain an inclusive culture where everyone feels welcome, valued, and thrives. Supporting careers and professional development is one facet of caring for our leaders through structured leadership onboarding, enhanced tuition reimbursement, progressive developmental programs, succession planning and mentoring performance excellence. Competitive compensation, Annual Incentive Plan to qualifying leaders, and comprehensive health care packages are top of mind to care for your financial health and well-being. If needed, our comprehensive relocation package helps get you here. For more information:

Created: 2025-09-26